婴儿入院前急性疾病的管理。
Management of acute illness in infants before admission to hospital.
作者信息
Stanton A N, McWeeny P M, Jay A L, Irwin E, Oakley J R
出版信息
Br Med J. 1980 Mar 29;280(6218):897-9. doi: 10.1136/bmj.280.6218.897.
Parents and family doctors were questioned about the management of 150 infants with acute illness before their admission to hospital. When 108 of the children were first assessed the family doctor did not consider that admission was necessary, but follow-up was arranged in only 14 of these cases. Thus in 94 cases the initiative for recall was left to the parents, who in 44 cases already wanted their child to be admitted. Forty-eight infants were referred because the doctors thought that the parents could not cope. The parents of 31 of the children delayed in seeking help. As over half the children were ill for more than three days before they were admitted to hospital, regular follow-up could have been arranged. Doctors should normally retain the initiative for this rather than leave it to the parents' discretion.
在150名患急性病的婴儿入院前，研究人员询问了其父母和家庭医生关于这些婴儿的治疗安排。当首次对其中108名儿童进行评估时，家庭医生认为无需住院，但仅对其中14例安排了随访。因此，在94例中，复诊的主动权交给了父母，其中44例父母已经希望孩子住院。48名婴儿因医生认为父母无法应对而被转诊。31名儿童的父母在寻求帮助方面有所延误。由于超过半数的儿童在入院前已患病超过三天，本可以安排定期随访。通常情况下，医生应保留这方面的主动权，而不是让父母自行决定。
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